Early diagnosis of miliary tuberculosis in a hemodialysis patient by combining two interferon-γ-release assays: a case report.
Florence BonkainDieter De ClerckViolette DirixMahavir SinghCamille LochtFrançoise MascartVéronique CorbièrePublished in: BMC nephrology (2020)
In view of the high frequency of TB in patients undergoing chronic HD and of the limitations of the classical diagnosis procedures, nephrologists have to diagnose TB mostly on clinical suspicion. We demonstrate here that the use of a combined IGRA to two different mycobacterial antigens may significantly raise the index of suspicion and help clinicians to decide starting anti-TB treatment in HD patients.
Keyphrases
- mycobacterium tuberculosis
- high frequency
- end stage renal disease
- chronic kidney disease
- patients undergoing
- peritoneal dialysis
- transcranial magnetic stimulation
- ejection fraction
- dendritic cells
- newly diagnosed
- pulmonary tuberculosis
- case report
- prognostic factors
- high throughput
- combination therapy
- hiv aids
- immune response
- patient reported outcomes
- replacement therapy
- smoking cessation
- adverse drug